What This Actually Costs You
“Zero upfront cost” is true and it is not the whole story. There are two separate money questions in federal arbitration — what we charge, and what the process itself charges — and you should have both answered before you decide anything.
What We Charge
Our fee is a percentage of amounts actually recovered — charged only on money that reaches your account, never on billed charges, never on amounts merely awarded but uncollected, and never as a retainer.
We do not publish the percentage on this page. It is set in the written engagement agreement, and you see it before you sign anything and before a single claim is filed. If you would rather know the number before a conversation, ask for it in your first email and we will send it — we are not going to make you sit through a call to learn the price.
What you never pay us
- No upfront cost, no retainer, no monthly minimum, no per-claim charge.
- Nothing for the initial review, whatever it concludes — including when it concludes that your claims are not worth filing.
- Nothing if a dispute is decided against you. Our fee comes out of recoveries; where there is no recovery there is no fee.
How the fee is calculated
On amounts collected, not amounts awarded. A determination is not money — the plan owes payment within 30 days of it, and until that payment lands there is nothing to take a percentage of. That distinction matters, because it puts the work of actually collecting on the same side of the table as you.
What the Federal Process Charges
These fees are set by the Departments of Health and Human Services, Labor and the Treasury. They are not ours, we do not mark them up, and they apply whether you file through us or on your own.
| Fee | Amount | Who pays |
|---|---|---|
| Administrative fee | $15 per party per dispute for disputes initiated on or after 11 June 2026 (previously $115) | Both parties, non-refundable regardless of outcome |
| Certified IDR entity fee | Set within a range the Departments publish annually, and differing for single and batched determinations | The non-prevailing party |
Because these amounts are adjusted from time to time, check the Departments' current guidance before budgeting a campaign rather than relying on figures quoted on any website, including this one. CMS publishes the process reports and guidance here.
What We Are and Are Not
We are not a law firm and we do not provide legal advice. Federal IDR is an administrative process conducted through the Departments' portal; it is not litigation, there are no hearings to attend, and non-attorney representation is how the great majority of disputes are filed — the CMS tables show the largest filers are provider groups and their representatives. If a matter needs a lawyer, we will say so rather than take it.
We do not publish client results. Not because there are none, but because a recovered-amount figure you cannot verify tells you nothing, and substantiating one to the standard the FTC applies takes more than a footnote. Everything numeric on this site comes from the Departments' published reports, with the source linked. The full dataset is here.
Your claim data is handled under a signed BAA. Claim documentation contains protected health information, which under HIPAA makes us a business associate of your practice. A Business Associate Agreement is executed with you as part of engagement, before that material changes hands, and it governs how we hold and dispose of it (45 CFR 164.502(e), 164.504(e)). Ask for it early if you want to read it before sending anything.
We tell you when the answer is no. Roughly 19% of disputes initiated nationally in 2024 were found ineligible. A review that comes back “these claims will not survive eligibility” is a useful answer, it costs you nothing, and you will get it in writing.